Individual provider Active NPI

Hector Eduardo Pallares-Hernandez, FNP

  • Family Nurse Practitioner
  • Cibolo, TX
National Provider Identifier
1366964744
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134363 Issued in TX
Practice address
409 Stonebrook Dr
Cibolo, TX 78108
Phone
(210) 478-9188
NPI assigned
Jul 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134363 TX Primary

Addresses

Primary practice location

409 Stonebrook Dr
Cibolo, TX 78108

Mailing address

409 Stonebrook Dr
Cibolo, TX 78108-3366
Phone (210) 478-9188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019000792 TX Practitioner - Nurse Practitioner 7315213352 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Maverick Emergency Medicine Associates PA CurrentSince Aug 21, 2017 Accepting new patients

Locations

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

250 E Basse Rd
Ste 101
San Antonio, TX 78209
Phone (210) 638-4159

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366964744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 STONEBROOK DR",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083366",
            "telephone_number": "210-478-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 STONEBROOK DR",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "78108",
            "telephone_number": "210-478-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLARES-HERNANDEZ",
        "first_name": "HECTOR",
        "middle_name": "EDUARDO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cibolo, TX

Sources for this page

Verify at the official NPI Registry.